Shane Liedeke

Peer Specialist · Cassopolis, MI

Individual Active NPI

NPI number 1033971577

Practice location

1124 Austin
Cassopolis, MI 49031-8310

Phone: (269) 228-5188

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NPI record

NPI: 1033971577
Entity type: Individual (Type 1)
Enumeration date: January 30, 2024
Last updated: January 30, 2024
Certified: January 30, 2024
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Peer Specialist Primary	`175T00000X`	—	—

Mailing address

960 M 60 E
Cassopolis, MI 49031-9339

About Shane Liedeke

Shane Liedeke is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1124 Austin, Cassopolis, MI 49031-8310. The NPI number 1033971577 was assigned on January 30, 2024 and the record was last updated on January 30, 2024.

Frequently asked questions

What is the NPI number of Shane Liedeke?

The NPI number is 1033971577.

What is the phone number of Shane Liedeke?

The phone number listed for the practice location is (269) 228-5188.

Where is Shane Liedeke located?

1124 Austin, Cassopolis, MI 49031-8310.

What is the taxonomy code for Shane Liedeke?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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